CANCER CARE ASSOCIATES CLINICAL LABORATORY
NPI 1104813187
Clinical Medical Laboratory in Redondo Beach, CA

NPI Status: Active since October 04, 2005

Contact Information

514 N PROSPECT AVE
4TH FLOOR
REDONDO BEACH, CA
ZIP 90277
Phone: (310) 750-3300
Fax: (310) 750-3381

NPI Profile Information
Primary Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinical Medical Laboratory

About CANCER CARE ASSOCIATES CLINICAL LABORATORY

This page provides the complete NPI Profile along with additional information for Cancer Care Associates Clinical Laboratory, a provider established in Redondo Beach, California operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1104813187 assigned on October 2005. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Cancer Care Associates Clinical Laboratory. The authorized official of this NPI record is David Chan Md (Co Owner President)

NPI: 1104813187
Provider Legal Name: CANCER CARE ASSOCIATES MEDICAL GROUP INC
Other Organization Name: CANCER CARE ASSOCIATES CLINICAL LABORATORY
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 514 N PROSPECT AVE 4TH FLOOR REDONDO BEACH, CA 90277
Location Phone: (310) 750-3300
Location Fax: (310) 750-3381
Mailing Address: 514 N PROSPECT AVE 4TH FLOOR REDONDO BEACH, CA 90277
Mailing Phone: (310) 750-3300
Mailing Fax: (310) 750-3381
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-04-2005
Last Update Date: 08-22-2020
Code Navigator

Establishments like Cancer Care Associates Clinical Laboratory are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinical Medical Laboratory
Taxonomy Code: 291U00000X
Type: Laboratories
License State: CA
Taxonomy Description: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DAVID CHAN MD
Authorized Official Title: CO OWNER PRESIDENT
Authorized Official Phone: (310) 750-3300

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	0	4	8	1	3	1	8	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	0	4	16	1	6	1	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 6 + 1 + 6 + 1 + 1 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 7									7

The NPI number 1104813187 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

NORA CHIEN YEE KU MD

Internal Medicine

(Hematology & Oncology)

514 N PROSPECT AVE
4TH FLOOR
REDONDO BEACH, CA
ZIP 90277

About CANCER CARE ASSOCIATES CLINICAL LABORATORY

Location Map

Specialty - Primary Taxonomy

Clinical Medical Laboratory

Authorized Official

DAVID CHAN MD

Reviews for CANCER CARE ASSOCIATES CLINICAL LABORATORY

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is CANCER CARE ASSOCIATES MEDICAL GROUP INC's NPI number?

Where is the provider located?

What is the provider's specialty?